Most Relevant Information
Provider Data
| NPI Number: | 1003682907 |
| Provider Name: | KRISTIN ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/30/2023 |
| Last Updated: | 11/30/2023 |
Provider Practice Location
607 E 200 S
SALT LAKE CITY
UT
841022110
Practice Location Phone/Fax
| Phone: | 8014283442 |
| Fax: |
Provider Mailing Location
607 E 200 S
SALT LAKE CITY
UT
841022110
Provider Mailing Phone/Fax
| Phone: | 8014283442 |
| Fax: |